Henry R Boucher
Orthopaedic Surgeon
3333 North Calvert Street Suite 400
Baltimore
, Maryland 21218
Henry R Boucher
Orthopaedic Surgeon
3333 North Calvert Street Suite 400
Baltimore
, Maryland 21218
(410) 261-2726
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Henry R Boucher
- 3333 North Calvert Street Suite 400
- Baltimore, MD
- Zip : 21218
- Fax : (410) 261-2726
- Phone : (410) 554-2270
Second Address
- Henry R Boucher
- 3333 North Calvert Street Suite 400
- Baltimore, MD
- Zip : 21218
- Fax : (410) 261-2726
- Phone : (410) 554-2270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | D0053525 | MD |
National Provider Identifier
| NPI | 1013953728 |
|---|---|
| Provider Name | Henry R Boucher |
| First Address | Baltimore, MD 21218 |
| Second Address | Baltimore, MD 21218 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 22/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 61401401 | BCBS (01) | MD |
| 903A | CFBCBS OF MD (01) | MD |
| H42380 | (02) | |
| J848 | CFBCBS DC (01) | DC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.